FORM 1023-EZ for KIWANIS CLUB OF CARROLLWOOD FOUNDATION INC

Field Data
EIN 84-1883317
Case Number EO-2019301-000265
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIWANIS CLUB OF CARROLLWOOD FOUNDATION INC
Organization’s Mailing Address 11307 GALLERIA DR
City TAMPA
State FL
ZIP 33618
Accounting period End 9
Primary contact name MARTA HARICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARLA NIELSEN
PRESIDENT
11307 GALLERIA DR
TAMPA FL 33618

Officer/Director/Trustee Two

PERCY LEGENDRE
TREASURER
4802 EHRLICH RD STE 203
TAMPA FL 33618

Officer/Director/Trustee Three

ED ANDERSON
SECRETARY
27642 CASHFORD CIR
WESLEY CHAPEL FL 33544

Officer/Director/Trustee Four

STEPHEN CUNNINGHAM
PAST PRESIDENT
15922 MYSTIC WAY
TAMPA FL 33624

Officer/Director/Trustee Five

CHRISTOPHER LEGENDRE
PRESIDENT ELECT
4802 EHRLICH RD STE 203
TAMPA FL 33618

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KARLA NIELSEN
Signature Title PRESIDENT
Signature Date 10/18/19

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